Legal Protection for Doctors in the Use of Robotic and Telerobotic Surgical Devices: Reconstruction of Distributed Causal Liability

Authors

  • Fachri Razi Magsiter of Law, UPN “Veteran” Jakarta, Jakarta, Indonesia
  • Handar Subhandi Baktiar Magsiter of Law, UPN “Veteran” Jakarta, Jakarta, Indonesia
  • Abdul Kolib Magsiter of Law, UPN “Veteran” Jakarta, Jakarta, Indonesia

DOI:

https://doi.org/10.55681/ijssh.v4i2.2999

Keywords:

Doctor, Legal Protection, Robotic Surgery, Telerobotic Surgery, Distributed Causal Liability

Abstract

The development of health technology based on robotics, artificial intelligence, and digital telecommunication systems has encouraged the use of robotic and telerobotic surgical devices in medical procedures. These technologies improve surgical precision, expand access to specialist services, and strengthen the digital transformation of health care. However, their use also raises new legal issues, particularly regarding the limits of physician liability when patient harm results from system failure, network disruption, software error, or robotic device malfunction. This article analyzes the current legal framework for robotic and telerobotic surgical devices in Indonesia and formulates a legal protection model for physicians. This study applies normative legal research using statutory, conceptual, and comparative approaches. The findings show that Law Number 17 of 2023 concerning Health, Government Regulation Number 28 of 2024, and Minister of Health Regulation Number 3 of 2025 have not specifically regulated robotic surgery and telerobotic surgery. As a result, the distribution of liability among physicians, hospitals, technology providers, system operators, and medical device manufacturers remains normatively unclear. This article recommends the adoption of specific regulation and the implementation of the Tiered and Distributed Causal Liability Model, so that legal responsibility can be allocated proportionally based on the source of error, degree of control, and causal contribution of each actor.

References

Akhtar, M., & Saxena, D. (2018). Robotic surgery: Evolution, current status & future perspectives. Panacea Journal of Medical Sciences, 8(1), 1-4.

Asshiddiqie, J. (2019). Konstitusi kesehatan Indonesia [Indonesian health constitution]. Jakarta: Rajawali Press.

Beauchamp, T. L., & Faden, R. R. (2014). A history and theory of informed consent. Oxford: Oxford University Press.

Calo, R. (2015). Robotics and the lessons of cyberlaw. California Law Review, 103(3), 513-563.

Cohen, I. G. (2019). Health information technology and privacy. Oxford: Oxford University Press.

Cohen, I. G., Hoffman, A. K., & Sage, W. M. (Eds.). (2017). The Oxford handbook of U.S. health law. Oxford: Oxford University Press.

Fuller, L. L. (1969). The morality of law (Rev. ed.). New Haven, CT: Yale University Press.

Giliker, P. (2010). Vicarious liability in tort: A comparative perspective. Cambridge: Cambridge University Press.

Goldberg, R. (2017). Medical malpractice and compensation in global perspective. London: Routledge.

Government of Indonesia. (2024). Government Regulation Number 28 of 2024 concerning the implementing regulation of Law Number 17 of 2023 concerning Health [Peraturan Pemerintah Nomor 28 Tahun 2024 tentang peraturan pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan]. Jakarta: State Secretariat of the Republic of Indonesia.

Guwandi. (2018). Hukum medik [Medical law]. Jakarta: FKUI Press.

Hadjon, P. M. (2019). Perlindungan hukum bagi rakyat di Indonesia [Legal protection for the people in Indonesia]. Yogyakarta: Gadjah Mada University Press.

Hall, M. A., Bobinski, M. A., & Orentlicher, D. (2018). Health care law and ethics (10th ed.). New York, NY: Wolters Kluwer.

Hart, H. L. A. (2012). The concept of law (3rd ed.). Oxford: Oxford University Press.

Jamjoom, A. A. B., Jamjoom, A. M. A., Thomas, J. P., Palmisciano, P., Kerr, K., Collins, J. W., ... Marcus, H. J. (2022). Autonomous surgical robotic systems and the liability dilemma. Frontiers in Surgery, 9, 1015367. https://doi.org/10.3389/fsurg.2022.1015367

Keesara, S., Jonas, A., & Schulman, K. (2020). Covid-19 and health care's digital revolution. New England Journal of Medicine, 382(23), e82. https://doi.org/10.1056/NEJMp2005835

Kelsen, H. (1967). Pure theory of law (M. Knight, Trans.). Berkeley, CA: University of California Press.

Minister of Health of the Republic of Indonesia. (2025). Minister of Health Regulation Number 3 of 2025 concerning professional discipline enforcement for medical personnel and health workers [Peraturan Menteri Kesehatan Nomor 3 Tahun 2025 tentang penegakan disiplin profesi tenaga medis dan tenaga kesehatan]. Jakarta: Ministry of Health of the Republic of Indonesia.

Munch, L., Mainz, J., & Bjerring, J. C. (2023). The value of responsibility gaps in algorithmic decision-making. Ethics and Information Technology, 25(21).

Murray, A. (2022). Information technology law. Oxford: Oxford University Press.

Oliphant, K. (2019). The law of tort (6th ed.). Oxford: Oxford University Press.

Owen, D. G. (1990). Products liability: Principles of justice for the 21st century. Pace Law Review, 11(1), 63-90.

Pasquale, F. (2020). New laws of robotics. Cambridge, MA: Harvard University Press.

Price, W. N., II. (2018). Medical malpractice and black-box medicine. In I. G. Cohen, A. K. Hoffman, & W. M. Sage (Eds.), Big data, health law, and bioethics (pp. 295-306). Cambridge: Cambridge University Press.

Rawls, J. (1999). A theory of justice (Rev. ed.). Cambridge, MA: Harvard University Press.

Republic of Indonesia. (1945). The 1945 Constitution of the Republic of Indonesia [Undang-Undang Dasar Negara Republik Indonesia Tahun 1945].

Republic of Indonesia. (2023a). Law Number 17 of 2023 concerning Health [Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan]. State Gazette of the Republic of Indonesia Year 2023 Number 105.

Republic of Indonesia. (2023b). Law Number 1 of 2023 concerning the Criminal Code [Undang-Undang Nomor 1 Tahun 2023 tentang Kitab Undang-Undang Hukum Pidana]. State Gazette of the Republic of Indonesia Year 2023 Number 1.

Republic of Indonesia. (2024). Law Number 1 of 2024 concerning the second amendment to Law Number 11 of 2008 concerning Electronic Information and Transactions [Undang-Undang Nomor 1 Tahun 2024 tentang perubahan kedua atas Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik]. State Gazette of the Republic of Indonesia Year 2024 Number 1.

Republic of Indonesia. (2025). Law Number 20 of 2025 concerning the Criminal Procedure Code [Undang-Undang Nomor 20 Tahun 2025 tentang Kitab Undang-Undang Hukum Acara Pidana]. State Gazette of the Republic of Indonesia Year 2025 Number 188.

Rozbruch, L. (2018). Litigation & robotic surgery: Product liability or medical malpractice? Penn Undergraduate Law Journal. Retrieved from http://www.pulj.org/the-roundtable/litigation-robotic-surgery-product-liability-or-medical-malpractice

RSU Bunda Jakarta. (2021, December 19). Robotic surgery. Bunda Group. Retrieved May 22, 2026, from https://www.bunda.co.id/en/articles/robotic-surgery

Satava, R. M. (2002). Surgical robotics: The early chronicles. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 12(1), 6-16.

Satava, R. M. (2015). Surgical robotics: The early chronicles. Annals of Surgery, 261(6), 985-990.

Sjamsuhidajat, R. (2016). Development of robotic surgery in Indonesia. Indonesian Journal of Surgery, 45(2).

Smith, H., & Fotheringham, K. (2020). Artificial intelligence in clinical decision-making: Rethinking legal responsibility. Medical Law International, 20(2), 131-156.

Solum, L. B. (2004). Procedural justice. Southern California Law Review, 78(1), 181-321.

Sukarna, P. A., & Winata, I. G. S. (2025). Legal analysis of limits of liability and patient protection in the use of robotic surgery for medical surgical procedures at primary health care facilities [Analisis hukum batasan tanggung jawab dan perlindungan pasien dalam penggunaan robotic surgery untuk tindakan pembedahan medis di fasilitas pelayanan kesehatan tingkat utama]. Indonesian Journal of Law and Justice, 3(2), 1-8. https://doi.org/10.47134/ijlj.v3i2.5394

Teubner, G. (2021). Rights of non-humans? Electronic agents and robots. Journal of Law and Society, 48(2).

Wan, K. J. (2020). The issue of determining negligence in the civil liability for medical malpractice due to robot surgery. Ajou Law Review, 14(1), 27-56. https://doi.org/10.21589/ajlaw.2020.14.1.27

Weinrib, E. J. (2012). The idea of private law (Rev. ed.). Oxford: Oxford University Press.

World Health Organization. (2021). Global strategy on digital health 2020-2025. Geneva: Author. Retrieved from https://www.who.int/publications/i/item/9789240020924

Downloads

Published

2026-06-30

How to Cite

Razi, F., Subhandi Baktiar, H., & Kolib, A. (2026). Legal Protection for Doctors in the Use of Robotic and Telerobotic Surgical Devices: Reconstruction of Distributed Causal Liability. International Journal of Social Sciences and Humanities, 4(2), 1014–1022. https://doi.org/10.55681/ijssh.v4i2.2999